U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
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University of Florida Center for Simulation, Education, and Safety Research, April 1–5, 2019; The River Club, Jacksonville, FL.
This course will explore how human factors and systems engineering can improve safety in health care. The session will address usability principles, resilience, and work system redesign. Featured faculty include
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. March 25-29, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019.
Human Factors Engineering
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being.
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academy of Medicine.
Health Aff (Milwood). 2018;37:1723-1908.
IV push medications survey results—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5.
Shifting and sharing: academic physicians' strategies for navigating underperformance and failure.
LaDonna KA, Ginsburg S, Watling C. Acad Med. 2018;93:1713-1718.
Systems Approach in Healthcare.
Dean J, Clarkson J, eds. Future Hosp J. 2018;5:145-187.
The systems approach at the sharp end.
Cross SRH. Future Hosp J. 2018;5:176-180.
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Silver Spring, MD: US Food and Drug Administration; September 29, 2018.
System-related and cognitive errors in laboratory medicine.
Plebani M. Diagnosis (Berl). 2018;5:191-196.
Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework.
Cochon L, Lacson R, Wang A, et al. J Am Med Inform Assoc. 2018;25:1507-1515.
Effective approaches to control non-actionable alarms and alarm fatigue.
Winters BD. J Electrocardiol. 2018 Jul 17; [Epub ahead of print].
Complicated: medical missteps are not inevitable.
Yurkiewicz IR. Health Aff (Millwood). 2018 37:7;1178-1181.
Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review.
Rahimi R, Kazemi A, Moghaddasi H, Arjmandi Rafsanjani K, Bahoush G. Chemotherapy. 2018;63:162-171.
Reframing and addressing horizontal violence as a workplace quality improvement concern.
Taylor RA, Taylor SS. Nurs Forum. 2018;53:459-465.
Human Factors and Technology in the ICU.
Wung SF, ed. Crit Care Nurs Clin North Am. 2018;30:179-310.
The effect of cognitive load and task complexity on automation bias in electronic prescribing.
Lyell D, Magrabi F, Coiera E. Hum Factors. 2018;60:1008-1021.
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Lauffenburger JC, Choudhry NK. JAMA Internal Med. 2018;178:950-951.
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
Patient safety climate: a study of Southern California healthcare organizations.
Avramchuk AS, McGuire SJJ. J Healthc Manag. 2018;63:175-192.
Integrating systemic accident analysis into patient safety incident investigation practices.
Canham A, Thomas Jun G, Waterson P, Khalid S. Appl Ergon. 2018;72:1-9.
Deriving a framework for a systems approach to agitated patient care in the emergency department.
Wong AH, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Jt Comm J Qual Patient Saf. 2018;44:279-292.
Strategies for optimizing OR drug safety.
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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